HomeMy WebLinkAbout0000442-Building
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
00442
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TYPE: BLDG ~ HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING A FLOOD PLAIN tJv T HEIGHT Sf,.
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ADDRESS IrJ~CJ C/I'Uf./A/l-LJ
OWNER ~~ c;,W~ fi.J6
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PLAN No.B/-S/:2 -76tre.
4Zh - O.,g~
DESIGNER
USE/NATURE OF WORK /t/GA./ .s:/P6L~ TA-M/t-Y ~S~~ L/' ~Ac;l-leLJ
~y:.-;:M&:/ #A-~~
kr- J/;!& 86 y:. II b F ~s- t<.. 57 L c:!> t:Z 1<7-
BUILDING CONTRACTOR ~ -~' I?oM~ LCleH~05S 'ZS-?O fV~(J ()olAe..4 Z37-535
Size t:~ Sq. Ft. ..:234~ # Rooms ---I b + 3 ~'Stjries Z- Height 2:41 'I
Foundation .AtJ~ &,~ Class of const.~.?f1 k Occupancy Permit bV/dW
tJy '-oUIS' /l~bi5fJ
HEATING CONTRACTOR ~JfJo;J
Heat 0 NC 0 Vent 0 Fuel/System C:;A5/ PA Heat Loss BTU'S
ELECTRIC CONTRACTOR
(3 tJ M. f-"f , ~k.S
Electric Servo New 0 Change 0 Temp 0
Type _ Volts _ Amps 1.JJQ
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
-J IH:S
_Sink
Other
_FOr
_ L Tub
_Disp
_OW
_SP
_ WSoft
_OF
_ CBasin
_ San. Sewer
_BT
_WH
_Sh
_Lav
_WC
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
FEES, Valuation $ ~ Permit Fee Paid $ /fJl?, ~
ISSUEDBY~ ~.~~~ Date '7-14-Z3h
I
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Park Dedication $ t 0 D
Final/O.P. / / ,.;';c:, - <Jb
SIGNATURE
perform all work pursuant to rules governing the described construction.
ADDRESS
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OAT
'.'3 E ~;S?r
TELEPHONE #
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ZCNING/LANI) USE CQt.1PLIANCE cmx::I<IJ:ST
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GENERAL
Building Petmit #
Job I.ocation / ICe:: {)~g-~/-4 ~
Property OWner ~---t/Z. ~~L~
Zo~ ;23 Conforming_ Non-Confcmninq~n
.,.'
Lot DiJIension
Lot Area
II. a:NS'I1ttX:'.I'ICtl DATA
Describe ~k: ~~ $/~
_.- '-'-~-""'-'''-'-''--'''-_.
~/ A-rr4C~. ~...A~~------~-_..__
~
-f--~oo
_ Accessot:y Bu.i.lding
Fence
:eoa.thouse
_ Utility Structt.n:e
_ Other (specify)
III. COMPLI&~CE: 0iECKS
ADDttICN
Pool
_ Deck/Patio
--.:. Sign
Porch
ALTERATIOM
~~:.:uy
/ -
_l-1ul.ti-Family
. ~ Cc1mercia1
. . ManufaCturing
----
Carclies Deficient
V Use
V
~
~
-
~
V"
-
V
-
~
~/
~
~
-1JC
Other (specify)
Deficie.ncv /Ca'ttrents
-
Lot: Width
rot Area
Floodplain .
Ftont Yard
Pear Yard
Side Yard (R)
Side Yard (L)
\
Parlting
Building Area
D:)t Area per Family
CoIner rot
IV. mTIEt"l AtJ1'HORITi'
The Planning Director, or appropriate designee, mustappro"l1e all plans, except
the following: (1) Alterations or interior w::>rk when the use is conforming and
when no change of use is proposed. (2) Mai."1tenance items, e.g., siding, windavs,
etc., when t~e use is confotming and when 00 change of use is proposed.
Instances where work cx::mplles with the a1::ove criteria, the permit can b:: reviev:ed
by the Building In:spector without referral to the Planning Director.
~ APPROVED NOr APProVED
Plan Conmi.ssion Action Required
Variance (s) Required
W=iED~#~~ DME, pf86
..
DATE
/-7~~h .
J(p S (!, ~~ . Wh"
If ... .
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NAME
e
ADDRESS
LOT
BLOCK
HARD
SUBD/V.
ZONE
SIDEWALK EXISTING
YES
LOT DIMENS IONS ~(Q X
NoD
j-, ,19~C.
D
Ilk,
STREET NO.
BY l< ~
BUILDING GRADE ELEVAT!ONS
FEE: $lO.O~
STAKES SET AT SITE
DEPARTMENT OF PUBU C WORKS
/'~,
1/
(\:3~.9'1 ?i'7js
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I, the undersigned, o....ner or agent of the above de cribed
grade establ ished before excavation has cornman e .
City of Oshkosh 1/1/85
c.../
PARKLAND DEDICATION FEE COLLECTION RECORD
Address /c,4~O OnIl,4/1..L) LA..
(-
Owner's Name~te"~ C3,U;vLljU~
Name of Subdivision L:I~.~~ ~fJ~.
Lot #
Bldg. Permit #
#'2-
No. of Units
Fee Required ....:.Jb
Fee Paid
Owner's signatur
Date
Date
Parks Subdivision
Improvement
Accts. Rec.: 362-041
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State of Wisconsin
Department of Industry,
Labor & Human Relations
Division of Safety & Buildings
Box 7969
Madison, WI 53707
Wisconsin Statutes 101.63, 101. 73
WISCONSIN UNIFORM 15/
BUILDING PERMIT
APPLlCA liON 5/.-;, - J#~ /2
(See Instruction on back)
4-~2-
APPLICATION NO.
PARCEL NO.
DPLUMBING
\DfL/
f) ~ LA-t.. f2.n
Telephone
LC-~~.-o54~
Telephone 0
'Z..~~-S-j' ,(3
y.
y., SECTION
,T
Lot No.
N, R, E(or)W
Block No.
Subdivision Name
CP..L.l4M...D> ~L
\.-
Livi ng Area
1/73
;;l3Y:G::,
b FJ ';2../
Sq. ft.
Garage
The applicant agrees to comply with the Wisconsin Un"
that the issuance of the permit creates no legal Ii' Iii
accu rate.
SIGNATURE OF APPLlCA
CONDITIONS OF APPR
a~-<:-(...:. ~
I~ ~~~
....e?J t:-c:..,;Sff C"~
C:~~~ LrV7~ /lIJ.
. /Zc ot/L--
DCOUNTY Municipality Number
2-J2 ~(,.fa
Municipality Number of Dwelling
Location, if different
Plan Review. . . . . . . $
Inspection. . . . . . . . $ A~
Wis. Permit Seal(s) . $ ""lC./
Other. . . . . . . . . . . $
TOTAL. . . . . . . $
01 LH R-SBD 5823 (R. 11/84) WH ITE - Issuing Jurisdiction
Construction
'VAC
lectrical
Plumbing
DOther
=--
43jCf/ I
.
?~(4.-9~
CERT.NO. ~C)~
DATE
YELLOW - DILHR
GREEN - Inspector
PINK - Owner/Agent